A chang chuan kan doctor hian, "I kal hnathawh a tlahniam deuh a, hei hi i lo thlir reng ang u," a ti thin. Chutiang hunah chuan kan hlauthawng deuh thin a ni lawm ni? A bik takin zawhna "Dialysis ka tih a ngai dawn em?" kan rilruah khawi emaw laiah a lo chhuak thin. Hei hi a nihna takah chuan mi tam takin an neih hlauhna a ni. Chuvangin vawiinah hian dialysis hi eng nge a nih tak tak, tute nge mamawh, leh engtin nge a tih dan awlsam tak, i hriatthiam theih dan tur kan sawi dawn nia.
A hmasain dialysis tih hi eng nge a nih i en ang u.
A awlsam zawngin, dialysis chu i kal (kidney)-in a hna a thawh that theih tawh loh a, chu chu machine emaw, hmanraw dang emaw hmanga siam chhuah (artificial)-a tih a ni. Hetiang hian han ngaihtuah teh: i kal (kidney) hi super filter pahnih ang mai a ni. I ruhro sir lehlamah, i rib cage hnuai chiaha awm, bean ang chi organ an ni. An hna ber chu i thisen filter a, i taksa atanga bawlhhlawh leh tui tam lutuk chu zun angin paih chhuah a ni. Hei bakah hian i kal (kidney) hian i thisen sang a control bawk a, i ruhte a tichak a, i thisena minerals potassium leh sodium (salt) te chu a dik tawkin a vawng reng a, thisen sen siamna tura puitu hormone a siam bawk. I kal (kidney) te hnathawh that loh chuan i taksaah toxins a lo awm tan thin. Chutih lai chuan dialysis chu nunna chhanhimna damdawi a lo ni ta a ni.
Tute nge dialysis hmanga enkawl ngai?
Kidney natna a nasat chuan, chu chu i kal a chak lo lutuk tihna a ni a, i taksa hnathawh a zawm theih loh chuan dialysis emaw kidney transplant emaw i mamawh mai thei. Kidney natna hi thisen sang,
zunthlum , lupus, accident thenkhat, a nih loh leh chhan awm lo pawhin a awm thei. Dialysis hi kal (kidney failure) symptoms i neih tan emaw, thisen test-a i thisenah toxin tam lutuk a awm tih hmuhchhuah emaw a nih chuan tih tan thin a ni. A lan chhuah dan chu
rilru hahna , hahna, hliam, leh luak chhuak te hi a ni.
Kidney natna hi stage 5 a awm a . Stage V i thlen chuan i kal (kidney) te chu level hniam takah an thawk tihna a ni a, 10%-15% ang bawkin ‘End-Stage Renal Disease ’ kan ti thin. Hetih lai hian dam khawchhuah nan dialysis emaw kidney transplant emaw hi a ngai tak zet a ni.
Dialysis chi hrang hrang eng nge awm?
Dialysis hi chi hnih a awm a. An pahnih inthlauhna hi awlsam takin han thlir ila.
| Dialysis chi hrang hrang | Engtin nge kan tih ang | Khawiah nge tih tlangpui |
|---|
| Hemodialysis hmanga tihdam theih a ni | I thisen chu i taksa atangin lakchhuah a ni a, machine bik (artificial kidney) hmangin a kal tlang a, a tifai a, chumi hnuah i taksaah a kir leh a ni. | Damdawi in emaw, dialysis center emaw-ah. In lamah pawh tih theih a ni. |
| Peritoneal Dialysis hmanga tihdam theih a ni | I thisen chu i taksa chhungah a thianghlim a ni. I pum chhungah tui bik dah a ni a, chu chuan bawlhhlawh a hip lut a, chutah chuan a paih chhuak ta a ni. | In lama tih thin a ni. |
Hei bakah hian hmanraw bik `Continuous Renal Replacement Therapy (CRRT),` tih a awm a, hei hi Intensive Care Unit (ICU)-a damlo na tak tak, regular dialysis tuar thei lote tan darkar 24 chhung zawi zawiin pek thin a ni.
Hemodialysis chungchang tlem tal sawi belh leh ila
Hetiang hmang hian machine hian i taksa atangin thisen a la chhuak thin. Hei hian i kut vun hnuaiah thisen kalna kawng nena inzawm thei tur access point siam turin surgery tenau tak a nei a ni. Chumi atan chuan hmanraw pawimawh pathum a awm a.
- Fistula: Hei hian i kut chhunga artery leh vein inzawmkhawm a huam a ni. Hei hi hmanraw tha ber leh nghet ber a ni. Mahse, a hman theih nan kar 6 vel a ngai a ni.
- Graft: Hei hi plastic tube hmanga artery leh vein inzawmkhawmna a ni. Hei hi kar 2 chhung pawh hman theih a ni. Mahse, fistula angin a daih rei lo.
- Catheter : Dialysis i tan thuai a ngai a nih chuan i kawr, i kut emaw, i kawrfual emaw vein lian takah flexible tube (catheter) dah a ni . Hei hi hun eng emaw chen atana chinfelna a ni.
Enkawl lai hian chair-a i mu laiin technician pakhat chuan i kut a fistula emaw graft emaw chhungah needle pahnih a dah lut a. Needle pakhat chuan i taksa atangin thisen a la chhuak a, machine hmangin a tifai a, needle dang chuan thisen tihfai chu i taksaah a rawn thawn kir leh bawk. He enkawlna hi darkar 3-5 vel a ni a, kar khatah vawi thum vel tih thin a ni.
Peritoneal Dialysis (PD) chungchang chipchiar zawkin
Hetiang tih dan hi a danglam deuh hlek a ni. Hetah hian i pum chhung (peritoneum) line tu membrane te tak te hian natural filter angin hna a thawk a. I enkawlna tan hma kar 3 vel khan i pum chhungah soft tube (catheter) a awm reng theih nan surgical procedure tenau tak tih a ni. Tichuan, he tube hmang hian dialysis fluid chu i pum chhungah pump lut a ni. He tui hian darkar tlemte chhungin i thisen atanga bawlhhlawh paih chhuah hna a thawk a ni. Chumi hnuah bawlhhlawh chu bag dangah an paih chhuak leh thin. Hetiang kalphung hi "exchange" an ti a. Hei hi in lamah i ti thei a, chuvang chuan damdawi ina kal fo a ngai lo. Chutianga tih theih dan kawng hnih a awm a:
- Automated Peritoneal Dialysis: He exchange process hi zan khat chhung, i mut laiin, machine hmangin a thleng thin.
- Continuous Ambulatory Peritoneal Dialysis: He exchange process hi kut hmanga tih a ngai a, ni khatah vawi engemaw zat i ti tur a ni.
Dialysis hian side effect a nei em?
Dialysis
hi a hrehawm lo. Mahse, enkawl lai emaw, enkawlna hnuah emaw side effect engemaw zat i nei thei. Natna i neih chuan doctor hnenah hrilh nghal rawh. Side effects tlangpui chu:
- Vun a na
- Thisen sang hniam (a bik takin zunthlum vei te) .
- Mut harsatna a awm
- Fluid a tam lutuk
- Infection (a bik takin catheter awmna hmunah) .
- Depression emaw mood emaw a inthlak danglam thin
- Nausea leh luak chhuak
- Muscle a ti na hle
- Chauhna nasa tak a awm
He enkawl chhung hian hrisel taka awm theih nan heng thilte hi enkawl la:
- Nitin i access site-ah a sen, a hring, a hring emaw a awm leh awm loh enfiah thin ang che. Chung zinga pakhat tal i hriat chuan doctor ko nghal rawh.
- Catheter khuhna bandage chu fai leh vawt takin dah fo ang che.
Take-Home Thuchah a ni
- Kidney function 10%-15% hnuai lam a tlak chuan taksa atanga bawlhhlawh paih chhuah nan dialysis treatment a ngai mai thei.
- Dialysis hi chi hnih a awm a, chungte chu hemodialysis leh peritoneal dialysis te an ni. I doctor nen inbia la, i tan eng method nge tha ber tih rel rawh.
- Dialysis hmanga enkawl hi a hrehawm lo hle a, mahse side effect thenkhat a awm thei. I doctor hnenah harsatna i neih chuan hrilh rawh.
- Enkawlna i chawlhsan a ngai a nih chuan nangmah chauhin thutlukna siam suh, mahse i doctor nen sawiho ngei ngei tur a ni.
- Dialysis hi dam rei thei tur enkawlna a ni a, mi zawng zawng tan chauh hman theih a ni lo. I dinhmun atana tha ber tur doctor nen inbiakna neih a pawimawh.
Dialysis, kal natna, kal tha lo, hemodialysis, peritoneal dialysis, dialysis sinhala, kal tha lo sinhala
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